Prior Authorization Request definition

Prior Authorization Request means a request for pre-approval from an insurer for a specified prescription or quantity of a prescription before the prescription is dispensed.
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Prior Authorization Request means a Service Authorization Request by the Enrollee, or a provider on the Enrollee’s behalf, for coverage of a new service, whether for a new authorization period or within an existing authorization period, before such service is provided to the Enrollee.
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Prior Authorization Request means a method by which practitioners seek approval from Contractor to render medical services. Contractor’s utilization review coordinator is responsible for granting approval of providing specific, non-emergency Covered Services in advance of rendering such services. Article 2 - Definitions Sharp Health Plan 00-91035
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Examples of Prior Authorization Request in a sentence

  • Prior Authorization Request is a Service Authorization Request by the Enrollee, or a provider on the Enrollee’s behalf, for coverage of a new service, whether for a new authorization period or within an existing authorization period, before such service is provided to the Enrollee.

  • The Enrollee may request expedited review of a Prior Authorization Request or Concurrent Review Request.

Related to Prior Authorization Request

  • Prior authorization means that we must approve the Services in advance in order for the Services to be covered.

  • Transaction Request Defined in Section 3.01(a).

  • Utilisation Request means a notice substantially in the form set out in Schedule 3 (Utilisation Request).

  • Credit Event Resolution Request Date means, with respect to a notice to ISDA requesting that a Credit Derivatives Determinations Committee be convened to resolve:

  • Extension Request has the meaning specified in Section 2.16(a).

  • Request for Proposals (RFP means all documents, including those attached or incorporated by reference, used for soliciting proposals.

  • Drawdown Request means a notice substantially in the form set out in Schedule 3 (Drawdown Request).

  • Federal work authorization program means any of the electronic verification of work authorization programs operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), D.L. 99-603.

  • Request for Proposal or “RFP” means all documents, including those attached or incorporated by reference, used for soliciting proposals.